| NPI | 1831415462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA20843) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085003717) |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2012-12-28 |